Individual
MARIA JOSE CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6821 FRUIT FLOWER AVE, LAS VEGAS, NV 89130-1665
(702) 764-2469
Mailing address
6821 FRUIT FLOWER AVE, LAS VEGAS, NV 89130-1665
(702) 764-2469
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-3734
NV
Other
Enumeration date
04/25/2026
Last updated
04/25/2026
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